No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MEDICAL MUTUAL EIN 34-0648820 NONE | Insurance services Service code 23 | — | $704K |
| FORTY FOUR CORPORATION EIN 34-6029682 NONE | Other fees Service code 99 | — | $496K |
| HUNTINGTON NATIONAL BANK NONE | Investment management Service code 28 | 17 SOUTH HIGH STREET COLUMBUS, OH 43216 | $147K |
| DANIELA JANCESKI EIN 31-6029682 NONE | Employee (plan) Service code 30 | — | $138K |
| FAULKNER, HOFFMAN, & PHILLIPS, LLC EIN 45-1540483 NONE | Legal Service code 29 | — | $93K |
| SEGAL COMPANY EIN 31-1975125 NONE | Consulting (general) Service code 16 | — | $74K |
| TRUST COMPANY FAMILY OFFICES EIN 34-1661757 NONE | Investment management Service code 28 | — | $54K |
| COMPUTOL INC. NONE | Other services Service code 49 | 118 E 3RD ST PERRYSBURG, OH 43551 | $42K |
| BMA - IMPACT SERVICES NONE | Other services Service code 49 | 23240 CHAGRIN BLVD. SUITE 500 BEACHWOOD, OH 44122 | $40K |
| CLARK SCHAEFER, HACKETT & CO. EIN 31-0800053 NONE | Accounting (including auditing) Service code 10 | — | $38K |
| M&S PRINTMEDIA, INC NONE | Other services Service code 49 | 732 BROOKWOOD LANE E. ROCHESTER HILLS, MI 48309 | $32K |
| DENTEMAX NONE | Insurance services Service code 23 | 25925 TELEGRAPH RD #400 SOUTHFIELD, MI 48033 | $15K |
| FAIR HEALTH INC NONE | Other services Service code 49 | 530 FIFTH AVENUE 18TH FLOOR NEW YORK, NY 10036 | $12K |
| US BANK EQUIPMENT FINANCE NONE | Other services Service code 49 | P.O. BOX 790448 ST. LOUIS, MO 63179 | $10K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC EIN 23-2182079 NONE | Other services Service code 49 | — | $9K |
| PURCHASE POWER NONE | Other services Service code 49 | 27475 HOLIDAY LN #6 PERRYSBURG, OH 43551 | $8K |
| BUCKEYE TELESYSTEMS INC EIN 31-1560010 NONE | Other services Service code 49 | — | $6K |
| PITNEY BOWES INC EIN 06-0495050 NONE | Other services Service code 49 | — | $6K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 2,120 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 69 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 512 | $250K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 2,107 | $306K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 2,107 | $306K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,408 | $116K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 2,107 | $306K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,408 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.